Peripheral Interfaces in Amputees for Sensorimotor Integration

NCT ID: NCT04430218

Last Updated: 2025-08-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-18

Study Completion Date

2032-06-30

Brief Summary

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The purpose of this research is to gather information on the safety and effectiveness of an implanted wireless sensory enabled highly intuitive controlled prosthetic device.

Detailed Description

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The study involves a surgical implant of cuff electrodes on the residual nerves in the amputated limb, and muscle recording electrodes in muscles. These will be connected to an implanted stimulator. The stimulator will connect wirelessly to an advanced prosthesis. This may allow the user to move the prosthetic hand intuitively and feel what the prosthesis is touching.

Conditions

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Upper Extremity Amputee

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

This study is designed as a randomized clinical trial in a small population of subjects to answer the primary question of whether use of a sensory-enabled, high degree-of-freedom (SE-ihDOF) prosthesis with the iSens system improves the subject's quality of life compared to use of their prescribed state-of-art (SOA) prosthesis
Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Outcome Assessors
The assessments will be analyzed by a blinded assessor.

Study Groups

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iSens

3 months trial with the iSens system

Group Type EXPERIMENTAL

iSens

Intervention Type DEVICE

The study involves a surgical implant of cuff electrodes on the nerves in the amputated limb, and muscle recording electrodes the remaining muscles. These will be connected to an implanted stimulator. The stimulator will connect wirelessly to an advanced prosthesis. This may allow a user to move the prosthetic hand intuitively and feel what your prosthesis is touching.

State of the Art Prosthesis

3 months trial with their own prosthesis.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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iSens

The study involves a surgical implant of cuff electrodes on the nerves in the amputated limb, and muscle recording electrodes the remaining muscles. These will be connected to an implanted stimulator. The stimulator will connect wirelessly to an advanced prosthesis. This may allow a user to move the prosthetic hand intuitively and feel what your prosthesis is touching.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age 21 or greater
* Acquired upper limb amputation
* Unilateral or bilateral amputation, Above or below elbow
* At least 6 months since time of amputation
* Current user of a myoelectric prosthesis or prescribed to use one
* Viable target nerves in the upper extremity \*
* Recommendation from a psychologist following a psychological assessment that the subject is mentally competent and capable of completing the study related activities

Exclusion Criteria

* A contraindication preventing surgery
* Uncontrolled diabetes
* Chronic skin ulcerations
* History of poor wound healing without specific cause
* History of uncontrolled infection without specific cause
* Active infection
* Pregnancy or women of childbearing potential unwilling to prevent pregnancy during participation in the study
* Inability to speak English
* Expectation that MRI will be required at any point for duration of study or while device is implanted.
* Arthritis in the area of implant
* Individuals with active implantable medical devices or individuals that use external active medical devices that are medically necessary and/or life-supporting or life-sustaining (e.g. insulin pumps, ventilators)
* Presence of auto immune diseases, or conditions requiring immunosuppression.
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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United States Department of Defense

FED

Sponsor Role collaborator

Congressionally Directed Medical Research Programs

FED

Sponsor Role collaborator

VA Office of Research and Development

FED

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dustin J. Tyler, PhD

Role: PRINCIPAL_INVESTIGATOR

Louis Stokes VA Medical Center, Cleveland, OH

Locations

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Louis Stokes VA Medical Center, Cleveland, OH

Cleveland, Ohio, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Dustin J Tyler, PhD

Role: CONTACT

(216) 791-3800

Melissa S Schmitt

Role: CONTACT

(216) 791-3800 ext. 63801

Facility Contacts

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Holly B Henry

Role: primary

216-791-3800 ext. 64657

Neal S Peachey, PhD

Role: backup

(216) 421-3221

References

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Cady SR, Lambrecht JM, Dsouza KT, Dunning JL, Anderson JR, Malone KJ, Chepla KJ, Graczyk EL, Tyler DJ. First-in-human implementation of a bidirectional somatosensory neuroprosthetic system with wireless communication. J Neuroeng Rehabil. 2025 Apr 23;22(1):90. doi: 10.1186/s12984-025-01613-z.

Reference Type DERIVED
PMID: 40269935 (View on PubMed)

Lambrecht JM, Cady SR, Peterson EJ, Dunning JL, Dinsmoor DA, Pape F, Graczyk EL, Tyler DJ. A distributed, high-channel-count, implanted bidirectional system for restoration of somatosensation and myoelectric control. J Neural Eng. 2024 Jun 21;21(3). doi: 10.1088/1741-2552/ad56c9.

Reference Type DERIVED
PMID: 38861967 (View on PubMed)

Other Identifiers

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RX003355-01

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

HT94252510204

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

1612632

Identifier Type: OTHER

Identifier Source: secondary_id

CDMRP-PR241366

Identifier Type: OTHER

Identifier Source: secondary_id

A3355-R

Identifier Type: -

Identifier Source: org_study_id

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